| NPI | 1174042402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELVIS FERNANDEZ Owner/Admin. 786-329-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 8174) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2022-07-21 |